Study to Compare Adjuvant Immunotherapy of Bempegaldesleukin Combined With Nivolumab Versus Nivolumab After Complete Resection of Melanoma in Patients at High Risk for Recurrence

NCT ID: NCT04410445

Last Updated: 2023-04-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

765 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-27

Study Completion Date

2022-09-22

Brief Summary

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The main purpose of this study is to compare the efficacy of bempegaldesleukin plus nivolumab versus nivolumab in patients with completely resected Stage IIIA/B/C/D, or Stage IV cutaneous melanoma who are at high risk for recurrence.

Detailed Description

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The main purpose of this study is to compare the efficacy, as measured by recurrence-free survival (RFS) by blinded independent central review (BICR), of bempegaldesleukin plus nivolumab versus nivolumab in patients with completely resected Stage IIIA (lymph node \[LN\] metastasis \> 1 mm), Stage IIIB/C/D, or Stage IV (American Joint Committee on Cancer \[AJCC\] 8th edition) cutaneous melanoma with no evidence of disease (NED) who are at high risk for recurrence.

Conditions

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Melanoma Melanoma Stage III Melanoma Stage IV Melanoma (Skin)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized in a 1:1 ratio to one of two treatment arms
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Combination of bempegaldesleukin (NKTR-214) + nivolumab

Arm A: Participants will receive bempegaldesleukin (NKTR-214) IV in combination with nivolumab every 3 weeks.

Group Type EXPERIMENTAL

Bempegaldesleukin

Intervention Type BIOLOGICAL

Specified dose on specified days

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Nivolumab

Arm B: Participants will receive nivolumab IV alone every 4 weeks.

Group Type ACTIVE_COMPARATOR

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Interventions

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Bempegaldesleukin

Specified dose on specified days

Intervention Type BIOLOGICAL

Nivolumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Other Intervention Names

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NKTR-214 BMS-986321 Opdivo® BMS-936558

Eligibility Criteria

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Inclusion Criteria

* Male or female patients, age 12 years or older at the time of signing the informed consent form (age 18 years or older where local regulations, countries, and/or institutional policies do not allow for patients \< 18 years of age (adolescents) to participate). In regions where adolescents are not allowed to participate in the study due to age restrictions, enrolled patients must be ≥ 18 years of age.
* Histologically confirmed Stage IIIA (LN metastasis \> 1 mm), IIIB/C/D, or IV (M1a/b/c/d) cutaneous melanoma by AJCC (8th edition) at study entry that has been completely surgically resected within 12 weeks prior to randomization.
* Tumor tissue available from biopsy or resected disease must be provided to central laboratory for PD-L1 status analysis. Must have PD-L1 expression classification for stratification purposes.
* Disease-free status documented by a complete physical examination and imaging studies within 28 days prior to randomization.

Exclusion Criteria

* History of ocular/uveal melanoma or mucosal melanoma.
* Active, known or suspected autoimmune disease. Patients with Type I diabetes mellitus, hypothyroidism only requiring hormone replacement, skin disorders not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
* Conditions requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of randomization. Inhaled or topical steroids, and adrenal replacement steroid doses \> 10 mg daily prednisone equivalent, are permitted in the absence of active autoimmune disease.
* Prior therapy for melanoma except surgery for the melanoma lesion(s) and/or adjuvant radiation therapy for central nervous system lesions.
* Prior therapy with interferon, talimogene laherparepvec (Imylgic®), interleukin-2 (IL-2) directed therapy, anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-cytotoxic T lymphocyte-associated protein 4 antibody (including ipilimumab or any other antibody or drug specifically targeting T cell co-stimulation or checkpoint pathways).
* Prior malignancy active within the previous 3 years except for locally potentially curable cancers that have been apparently cured.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Nektar Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Nektar Therapeutics

Locations

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Honor Health

Scottsdale, Arizona, United States

Site Status

Banner MD Anderson Cancer Center

Little Rock, Arkansas, United States

Site Status

Kaiser Foundation Hospital, Inpatient Pharmacy

Anaheim, California, United States

Site Status

Kaiser Permanente

Fontana, California, United States

Site Status

St. Joseph Heritage Healthcare

Fullerton, California, United States

Site Status

Hematology Oncology Medical Group of Orange County, Inc.

Orange, California, United States

Site Status

University of California Irvine

Orange, California, United States

Site Status

Emad Ibrahim, MD, Inc

Redlands, California, United States

Site Status

Kaiser Permanente

Riverside, California, United States

Site Status

Southern California Permanente Medical Group

Riverside, California, United States

Site Status

San Francisco Oncology Associates

San Francisco, California, United States

Site Status

California Cancer Associates for Research and Excellence

San Marcos, California, United States

Site Status

Kaiser Permanente

San Marcos, California, United States

Site Status

Angeles Clinic and Research Institute

Santa Monica, California, United States

Site Status

John Wayne Cancer Institute

Santa Monica, California, United States

Site Status

Rocky Mountain Cancer Centers (Littleton) - USOR

Aurora, Colorado, United States

Site Status

University of Colorado - Cancer Center - PPDS

Aurora, Colorado, United States

Site Status

MedStar Georgetown University Hospital

Washington D.C., District of Columbia, United States

Site Status

Orlando Health Cancer Institute

Longwood, Florida, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Goshen Center For Cancer Care

Goshen, Indiana, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Mayo Clinic - PIN

Rochester, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Frontier Cancer Center and Blood Institute

Billings, Montana, United States

Site Status

Nebraska Cancer Specialists

Omaha, Nebraska, United States

Site Status

Nebraska Methodist Hospital

Omaha, Nebraska, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Atlantic Health System

Morristown, New Jersey, United States

Site Status

NYU Langone Medical Center

New York, New York, United States

Site Status

Columbia University Medical Center - PIN

New York, New York, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Duke Cancer Institute

Durham, North Carolina, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Providence Cancer Institute, Franz Clinic

Portland, Oregon, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Lehigh Valley Physician Group (LVPG) - Hematology Oncology

Allentown, Pennsylvania, United States

Site Status

Penn State Milton S Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status

H Lee Moffitt Cancer Center and Research Institute

Pittsburgh, Pennsylvania, United States

Site Status

Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Prisma Health Cancer Institute

Greenville, South Carolina, United States

Site Status

SCRI Tennessee Oncology Chattanooga

Chattanooga, Tennessee, United States

Site Status

University of Tennessee Medical Center

Knoxville, Tennessee, United States

Site Status

SCRI Tennessee Oncology Nashville

Nashville, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Department of Pharmacy Investigational Drug Services

Dallas, Texas, United States

Site Status

Texas Oncology (Loop) - USOR

Dallas, Texas, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Utah Cancer Specialists (Salt Lake City)

Salt Lake City, Utah, United States

Site Status

University of Virginia Cancer Center

Charlottesville, Virginia, United States

Site Status

Inova Schar Cancer Institute

Fairfax, Virginia, United States

Site Status

Blue Ridge Cancer Care - USOR

Roanoke, Virginia, United States

Site Status

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Northwest Medical Specialties

Tacoma, Washington, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Royal Adelaide Hospital

Adelaide, , Australia

Site Status

Cairns Hospital

Cairns, , Australia

Site Status

Icon Cancer Care Wesley

Chermside, , Australia

Site Status

Gallipoli Medical Research Foundation

Greenslopes, , Australia

Site Status

Austin Health

Heidelberg, , Australia

Site Status

Alfred Hospital

Melbourne, , Australia

Site Status

Affinity Clinical Research

Nedlands, , Australia

Site Status

Sir Charles Gairdner Hospital

Nedlands, , Australia

Site Status

Melanoma Institute Australia

North Sydney, , Australia

Site Status

Gold Coast University Hospital

Southport, , Australia

Site Status

Tasman Oncology Research

Southport, , Australia

Site Status

Blacktown Hospital

Westmead, , Australia

Site Status

Princess Alexandra Hospital

Woolloongabba, , Australia

Site Status

Medizinische Universität Graz

Graz, , Austria

Site Status

Ordensklinikum Linz, Krankenhaus der Elisabethinen GmbH

Lienz, , Austria

Site Status

Landeskrankenhaus Feldkirch

Rankweil, , Austria

Site Status

Salzburger Landeskliniken

Salzburg, , Austria

Site Status

Universitätsklinikum St. Pölten

Sankt Pölten, , Austria

Site Status

Allgemeines Krankenhaus der Stadt Wien

Vienna, , Austria

Site Status

Mou/Mmci - Ppds

Brno, , Czechia

Site Status

Fakultni nemocnice Hradec Kralove

Hradec Králové, , Czechia

Site Status

Krajska nemocnice Liberec, a.s.

Liberec, , Czechia

Site Status

Fakultni nemocnice Olomouc

Olomouc, , Czechia

Site Status

Fakultni nemocnice Ostrava

Ostrava Poruba, , Czechia

Site Status

Vseobecna Fakultni Nemocnice V Praze

Prague, , Czechia

Site Status

Nemocnice Na Bulovce

Prague, , Czechia

Site Status

Centre Hospitalier Universitaire (CHU) Amiens-Picardie - Hopital Sud

Amiens, , France

Site Status

CHU Angers

Angers, , France

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Hôpital Saint-André

Bordeau, , France

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CHRU de Tours

Chambray-lès-Tours, , France

Site Status

CHU Estaing

Clermont-Ferrand, , France

Site Status

Hôpital Albert Michallon La Tronche

La Tronche, , France

Site Status

CHRU Lille

Lille, , France

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Hôtel Dieu - Nantes

Nantes, , France

Site Status

CHU de Nice

Nice, , France

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Hôpital Saint Louis

Paris, , France

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Groupe Hospitalier Bichat Claude Bernard

Paris, , France

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Hospices Civils de Lyon

Pierre-Bénite, , France

Site Status

EDOG - Centre Eugene Marquis Centre Regional de Lutte Contre Le Cancer - PPDS

Rennes, , France

Site Status

Hôpital Charles Nicolle

Rouen, , France

Site Status

Centre Hospitalier Universitaire de Saint Etienne

Saint-Priest-en-Jarez, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Charité - Universitätsmedizin Berlin

Berlin, , Germany

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Ruhr Universität Bochum

Bochum, , Germany

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Elben Klinken Stade - Buxtehude

Buxtehude, , Germany

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Uniklinik Köln

Cologne, , Germany

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Universitätsklinikum Carl Gustav Carus an der TU Dresden

Dresden, , Germany

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Helios Klinikum Erfurt

Erfurt, , Germany

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Universitätsklinikum Essen

Essen, , Germany

Site Status

SRH Wald-Klinikum Gera GmbH

Gera, , Germany

Site Status

Universitatsklinikum Halle (Saale)

Halle, , Germany

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Universitätsklinikum Hamburg Eppendorf

Hamburg, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

University Clinic Heidelberg

Heidelberg, , Germany

Site Status

SLK Kliniken Heilbronn GmbH

Heilbronn, , Germany

Site Status

Universitatsklinikum Schleswig-Holstein

Kiel, , Germany

Site Status

Universitatsklinikum Leipzig

Leipzig, , Germany

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Klinikum der Stadt Ludwigshafen gGmbH

Ludwigshafen, , Germany

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Universitätsklinik Magdeburg

Magdeburg, , Germany

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Klinikum Mannheim Universitätsklinikum gGmbH

Mannheim, , Germany

Site Status

Universitatsklinikum Munster

Münster, , Germany

Site Status

Fachklinik Hornheide

Münster, , Germany

Site Status

University Clinic Regensburg

Regensburg, , Germany

Site Status

Helios Klinikum Schwerin

Schwerin, , Germany

Site Status

Universitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

Universitätsklinikum Würzburg

Würzburg, , Germany

Site Status

Laiko General Hospital of Athens

Ampelokipoi, , Greece

Site Status

Henry Dunant Hospital

Athens, , Greece

Site Status

Metropolitan Hospital - First Oncology Clinic

Athens, , Greece

Site Status

Metropolitan Hospital - Fourth Oncology Clinic

Athens, , Greece

Site Status

Pepagni Hospital

Heraklion, , Greece

Site Status

Medical Center of Athens

Marousi, , Greece

Site Status

Interbalkan Medical Center of Thessaloniki

Pylaia, , Greece

Site Status

Theageneio Anticancer Oncology Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

Papageorgiou General Hospital of Thessaloniki

Thessaloniki, , Greece

Site Status

Bioclinic Thessaloniki (Galinos clinic)

Thessaloniki, , Greece

Site Status

HaEmek Medical Center

Afula, , Israel

Site Status

Soroka University Medical Centre

Beersheba, , Israel

Site Status

Rambam Medical Center - PPDS

Haifa, , Israel

Site Status

Hadassah Medical Center - PPDS

Jerusalem, , Israel

Site Status

Rabin Medical Center - PPDS

Petah Tikva, , Israel

Site Status

Sheba Medical Center - PPDS

Ramat Gan, , Israel

Site Status

IRCCS Giovanni Paolo II Istituto Oncologico

Bari, , Italy

Site Status

ASST Papa Giovanni XXIII - Azienda Ospedaliera Papa Giovanni XXIII

Bergamo, , Italy

Site Status

Fondazione del Piemonte per l'Oncologia (IRCCS)

Candiolo, , Italy

Site Status

Ospedale Policlinico San Martino

Genova, , Italy

Site Status

Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST - PPDS

Meldola, , Italy

Site Status

Istituto Europeo Di Oncologia

Milan, , Italy

Site Status

Istituto Nazionale Dei Tumori

Milan, , Italy

Site Status

Azienda Ospedaliero Universitaria Di Modena Policlinico

Modena, , Italy

Site Status

Istituto Nazionale Per Lo Studio E La Cura Dei Tumori Fondazione Giovanni Pascale

Napoli, , Italy

Site Status

Istituto Oncologico Veneto - I.R.C.C.S.

Padua, , Italy

Site Status

Azienda Ospedaliera Universitaria Senese

Siena, , Italy

Site Status

VU Medisch Centrum

Amsterdam, , Netherlands

Site Status

Zuyderland Medisch Centrum

Heerlen, , Netherlands

Site Status

Medisch Centrum Leeuwarden

Leeuwarden, , Netherlands

Site Status

Leiden University Medical Center

Leiden, , Netherlands

Site Status

Radboud University Nijmegen Medical Centre

Nijmegen, , Netherlands

Site Status

Universitair Medisch Centrum Utrecht

Utrecht, , Netherlands

Site Status

Maxima Medisch Centrum

Veldhoven, , Netherlands

Site Status

Isala Klinieken

Zwolle, , Netherlands

Site Status

Christchurch Hospital

Christchurch, , New Zealand

Site Status

Dunedin Hospital

Dunedin, , New Zealand

Site Status

Auckland City Hospital

Heidelberg, , New Zealand

Site Status

Tauranga Hospital

Tauranga, , New Zealand

Site Status

Wellington Hospital

Wellington, , New Zealand

Site Status

Bialostockie Centrum Onkologii im. Marii Sklodowskiej-Curie w Bialymstoku

Bialystok, , Poland

Site Status

Centrum Onkologii im. Prof. Franciszka Lukaszczyka w Bydgoszczy

Bydgoszcz, , Poland

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

NZOZ NEUROMED M. I M. Nastaj Spolka Partnerska

Lublin, , Poland

Site Status

Szpital Kliniczny im. Heliodora Swiecickiego w Poznaniu

Poznan, , Poland

Site Status

Centro Hospitalar E Universitário de Coimbra EPE

Coimbra, , Portugal

Site Status

Instituto Português de Oncologia de Lisboa Francisco Gentil, E.P.E.

Lisbon, , Portugal

Site Status

Centro Hospitalar Lisboa Norte, E.P.E. - Hospital de Santa Maria

Lisbon, , Portugal

Site Status

Hospital CUF Tejo

Lisbon, , Portugal

Site Status

Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe - PPDS

Porto, , Portugal

Site Status

Affidea Romania SRL

Bucharest, , Romania

Site Status

S.C. Medisprof SRL

Cluj-Napoca, , Romania

Site Status

S.C. Onco Clinic Consult SA

Craiova, , Romania

Site Status

Oncology Center Sfantul Nectarie

Craiova, , Romania

Site Status

Chelyabinsk Regional Clinical Oncology Dispensary

Chelyabinsk, , Russia

Site Status

Clinical Oncology Centre #1

Krasnodar, , Russia

Site Status

Krasnoyarsk Regional Oncology Center n.a. A.I. Kryzhanovskiy

Krasnoyarsk, , Russia

Site Status

Kursk Regional Oncology Centre

Kursk, , Russia

Site Status

PMI Euromedservice

Pushkin, , Russia

Site Status

Ryazan Regional Clinical Oncology Dispensary

Ryazan, , Russia

Site Status

FSBI National Medical Research Center of Oncology n.a. N.N.Petrov of MHRF

Saint Petersburg, , Russia

Site Status

Railway Clinical Hospital JSC RZhD

Saint Petersburg, , Russia

Site Status

Regional Clinical Oncology Hospital

Yaroslavl, , Russia

Site Status

Hospital Universitario A Coruña

A Coruña, , Spain

Site Status

Hospital Universitario Germans Trias i Pujol

Badalona, , Spain

Site Status

Hospital de La Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Universitari Dexeus - Grupo Quironsalud

Barcelona, , Spain

Site Status

Hospital Universitario Vall d'Hebron - PPDS

Barcelona, , Spain

Site Status

ICO l'Hospitalet - Hospital Duran i Reynals

Córdoba, , Spain

Site Status

Hospital Universitario Virgen de La Arrixaca

El Palmar, , Spain

Site Status

Hospital Universitario de Jaen

Jaén, , Spain

Site Status

C.H. Regional Reina Sofia - PPDS

L'Hospitalet de Llobregat, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario HM Sanchinarro - CIOCC

Madrid, , Spain

Site Status

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Universitario Virgen de la Victoria

Málaga, , Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Consorcio Hospital General Universitario de Valencia

Valencia, , Spain

Site Status

Addenbrooke's Hospital

Cambridge, , United Kingdom

Site Status

Castle Hill Hospital

Cottingham, , United Kingdom

Site Status

Leicester Royal Infirmary

Leicester, , United Kingdom

Site Status

Nottingham City Hospital

Nottingham, , United Kingdom

Site Status

Royal Cornwall Hospital

Truro, , United Kingdom

Site Status

Countries

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United States Australia Austria Czechia France Germany Greece Israel Italy Netherlands New Zealand Poland Portugal Romania Russia Spain United Kingdom

References

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Eggermont AM, Ascierto PA, Khushalani NI, Schadendorf D, Boland G, Weber J, Lewis KD, Johnson D, Rivalland G, Khattak A, Majem M, Gogas H, Long GV, Currie SL, Chien D, Tagliaferri MA, Carlino MS, Diab A. PIVOT-12: a phase III study of adjuvant bempegaldesleukin plus nivolumab in resected stage III/IV melanoma at high risk for recurrence. Future Oncol. 2022 Mar;18(8):903-913. doi: 10.2217/fon-2021-1286. Epub 2022 Jan 25.

Reference Type DERIVED
PMID: 35073733 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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20-214-29/CA045-022

Identifier Type: -

Identifier Source: org_study_id

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